Primecare 1 LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRIMECARE 1 LLC

Practice address

6861 N Clunbury Rd
West Bloomfield, MI 48322-4316

Phone

(313) 586-2822

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cristian Rusu

Title

Manager/Owner

Phone

(313) 586-2822

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina Dennert

  • Clinical Social Worker
  • Center Line, MI
  • NPI 1639571433
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1528530490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 N CLUNBURY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224316",
            "telephone_number": "313-586-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 N CLUNBURY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224316",
            "telephone_number": "313-586-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "RUSU",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "313-586-2822"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley R Previch, RN
• Rebecca Lynn Previti, MSPA, PA-C
• Gabriella Michelle Prewitt, LPN
• Rio Prewitt
• Jennifer Lynn-Wiens Priebe, DDS, MS
• Breanna Prina, CCC-SLP
• Private Care 4U
• Pro Med Anesthesia Services PLLC
• Progressive Lifestyle Inc
• Progressive Lifestyle Inc

• Clinical Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.